Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.04 / $6,461.00 / $17,823.00	Facility		$664.04	$6,461.00	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $644.88 / $816.83	Professional		$412.89	$644.88	$816.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,878.00 / $14,844.00 / $22,609.00	Facility		$10,878.00	$14,844.00	$22,609.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.55 / $1,362.14 / $3,678.86	Professional		$567.55	$1,362.14	$3,678.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,279.18 / $3,831.98 / $5,878.35	Facility		$3,279.18	$3,831.98	$5,878.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $905.95 / $4,402.14 / $5,270.36	Professional		$905.95	$4,402.14	$5,270.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $564.42 / $845.36 / $2,156.67	Facility		$564.42	$845.36	$2,156.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $576.04 / $1,198.15 / $16,976.00	Facility		$576.04	$1,198.15	$16,976.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $612.17 / $2,312.00 / $5,216.45	Professional		$612.17	$2,312.00	$5,216.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.00 / $3,425.10	Professional		$50.00	$85.00	$3,425.10
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $564.42 / $851.96 / $2,311.71	Facility		$564.42	$851.96	$2,311.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $901.29 / $1,654.11 / $2,381.35	Professional		$901.29	$1,654.11	$2,381.35
Quartz Facility/Professional Facility Modifier Low / Median / High Price $730.78 / $53,671.00 / $53,671.00	Facility		$730.78	$53,671.00	$53,671.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,134.30 / $3,936.75 / $4,750.00	Professional		$1,134.30	$3,936.75	$4,750.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4,601.93 / $4,601.93 / $4,601.93	Professional		$4,601.93	$4,601.93	$4,601.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6,541.90 / $6,541.90 / $6,541.90	Professional		$6,541.90	$6,541.90	$6,541.90
United Facility/Professional Facility Modifier Low / Median / High Price $8,650.00 / $14,566.00 / $20,827.00	Facility		$8,650.00	$14,566.00	$20,827.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.11 / $2,299.52 / $5,284.92	Professional		$553.11	$2,299.52	$5,284.92